Suicide in prisoners with bipolar disorder and other psychiatric disorders: a systematic review
Version of Record online: 26 FEB 2013
© 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Special Issue: Guest Editors – Frederick Cassidy and Christopher Baethge
Volume 15, Issue 5, pages 491–495, August 2013
How to Cite
Suicide in prisoners with bipolar disorder and other psychiatric disorders: a systematic review. Bipolar Disord 2013: 15: 491–495. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd., , .
- Issue online: 6 AUG 2013
- Version of Record online: 26 FEB 2013
- Manuscript Accepted: 11 SEP 2012
- Manuscript Received: 22 JUL 2011
- bipolar disorder;
- deliberate self-harm;
To examine the risk of suicide and suicide attempts in prisoners with bipolar disorder and other psychiatric disorders compared with prisoners without psychiatric disorders.
We conducted a systematic review and meta-analysis of observational studies comparing suicide outcomes in prisoners with bipolar disorder and other psychiatric disorders to other prisoners.
Five studies reported the risk of suicidal outcomes in prisoners with bipolar disorder compared with other prisoners, with a random effects pooled odds ratio of 2.4 (95% confidence interval: 1.6–3.7; I2 = 0%). This appeared to be lower than the risk of suicidal outcomes for all psychiatric disorders and for depression, specifically, and, in meta-regression, significantly lower (p = 0.03) than for schizophrenia-spectrum disorders.
Although bipolar disorder is associated with suicide and non-fatal suicidal behavior in prisoners, further research is necessary to confirm any associations and mediating mechanisms.